or their close families are responsible for seeking help for themselves. For this reason Asian
immigrants appear to have more trouble than European Americans asking for explicit social
support. The process by which individuals and groups adapt to each other’s cultures, called
acculturation, is an important influence on health. This adaptation ideally represents an
exchange between both cultures, so that they learn how to do things a new way. Acculturation,
however, often applies only to immigrants’ adopting influences from a dominant culture. When
a dominant group takes over the resources of a minority group— for example, a government
enforces an English-only policy on bilingual speakers, thereby increasing the difculties of the
immigrants seeking help—then the socioeconomic status of the adapting group often decreases.
As the following examples show, this status change may then further afect the psychological
health of the group. Arctic Native Populations Studies of native populations around the Arctic
(e.g., in northern Canada, Greenland, and Scandinavia) reveal many cases of elevated and
chronic stress, accompanied by high blood pressure and cardiovascular risk. This chronic stress is
linked to 50 years of rapid socioeconomic change: The population has experienced long-term
unemployment, contamination of food, and a multitude of other acculturation problems. As
they have acculturated, indigenous people have sufered discrimination, loss of traditional
values, and lack of control over their resources. Because they live in climates with less light
during winter months, they also experience seasonal afective disorder, a form of depression.
Cultural expressions of their high levels of anxiety and depression include increased incidence of
suicide and violence. Adolescents, in particular, among Alaska Natives and Greenland Inuit, have
recently had a high number of suicides. In these populations, levels of injury and violence reach
two to four times as high as national averages. Latinos in the United States Latinos in the United
States generally are healthier than other U.S. racial and ethnic groups, for example, in mortality
rates for adults and newborn babies. Still, mortality rates, incidence of chronic illness, and some
mental health conditions such as depression vary within the U.S. Latino population, depending
on Latino origin or cultural heritage (e.g., Mexican, Puerto Rican, or Cuban). One of the largest
immigrant groups in the United States is from Mexico. Surprisingly, surveys show that these
immigrants are psychologically healthier than their own children born in the United States. The
children, who have acculturated into the dominant society—or acquired some knowledge of its
language, food choice, dress, music, sports, etc.—are more likely to sufer from problems with
depression, substance abuse, poor diet, and birth outcomes (e.g., prematurity, low birthweight,
and teen pregnancy). Reasons for the negative efects of acculturation may be the stresses of
cultural conflicts around ideas of individuality, interpersonal relationships, and what it means to
succeed. Access to processed American foods high in simple sugars and excess fat may also
prevail over the diets of their parents, which tend to be higher in fiber, protein, and vegetables
and fruits. Despite these problems, secondgeneration Americans nevertheless tend to have
higher rates of insurance coverage and access to health care. Their greater facility with English is
correlated with higher frequencies of general physical, vision, and dental check-ups. Regardless
of one’s generation, other factors afect immigrants’ health outcomes living in the U.S.:
education, wealth, occupational and language skills all influence their lifestyles, as well as the
policies of the government and attitudes of Americans already here.